In Coding
Aug 9th, 2018
Follow both ICD-10 Official Guidelines and AHA Coding Clinic guidance to meet MACRA performance requirements. Diagnostic coding accuracy is a lot more important than it used to be. Under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), the Centers for Medicare & Medicaid Services (CMS) has increased physician accountability for reporting a patient’s ...
In CMS
May 17th, 2018
The Advancing Care Information (ACI) performance category – one of four performance categories in the Merit-based Incentive Payment System (MIPS) – is now the Promoting Interoperability (PI) performance category. What’s In a Name? For whatever reason, the Centers for Medicare & Medicaid Services (CMS) renamed the performance category. Nothing else has changed about the category. ...
In Billing
May 14th, 2018
Newly-released proposed rules provide a preliminary view of the fiscal year (FY) 2019 payment and policy updates to the Medicare program for hospices, inpatient psychiatric facilities, skilled nursing facilities, and inpatient rehabilitation facilities. The Centers for Medicare & Medicaid Services (CMS) released the four proposed rules on May 8. Hospice Update and Reporting Requirements This pr...
In CMS
Apr 20th, 2018
Quality reporting changes in 2018 for MIPS eligible clinicians who don’t see most of their patients face to face. Clinicians, clinician groups, and virtual groups eligible to participate in the Merit-based Incentive Payment System (MIPS) should know what percentage of their patient encounters are considered non-patient facing. Although self-identification is not required in 2018, the reporting ...
In CMS
Jan 4th, 2018
For the fourth consecutive year, ambulatory surgical centers (ASC) have a lot riding on participation in the ASC Quality Reporting (ASCQR) Program — 2.0 percentage points, to be exact. ASCs that do not meet quality reporting requirements will see their Consumer Price Index for All Urban Consumers (CPI–U) update of 1.7 percent reduced by 2.0 percentage ...